Haɓakar sukari > Jiyya da rigakafin

Barka dai, Igor Viktorovich.

A cikin maganarku, ya kamata ku fara da gudanar da ƙarin gwaji da kuma tabbatar da tsananin ciwon sukari mellitus, tunda lura da wannan cutar takamaiman ne mutum. Bugu da kari, Diabetol (idan kuna nufin shi, Butamide, ba ciwon sukari ba) ba zai zama magani ba don farkon maganin cututtukan type 2.
Zan shawarce ku da ku gwada wannan binciken, gwargwadon sakamakonsa zai yuwu ku yanke shawara game da nau'in farawa:

gwajin jini ga C-peptide,
gwajin jini don glycosylated haemoglobin.

Tuni ka fara bin lambar abinci 9, wanda aka ba da shawarar a cikin irin waɗannan halayen (bayani akan shi yana da yawa akan Intanet, don haka ba zan kwafa shi ba, idan kana da wasu tambayoyi, zan amsa musu).
Zan kuma bayar da shawarar cewa ku dauki phytosborne Arfazetin 1/2 kofin minti 30 kafin abinci sau 3 a rana, Ya kamata a dauki Arfazetin na makonni 2, sannan kuyi hutu na makonni 2, kuna iya maimaita karatun na dogon lokaci.

Ba ku da contraindications don ɗaukar Simgal, Trombo ass da Betalok ZOK.

Da gaske, Nadezhda Sergeevna.

Me yakamata in yi idan ina da wata tambaya amma kama daban?

Idan baku sami bayanin da kuke buƙata ba tsakanin amsoshin wannan tambayar, ko kuma matsalarku ta ɗan bambanta da wadda aka gabatar, gwada tambayar likita don ƙarin bayani a kan wannan shafin idan yana kan batun babban tambayar. Hakanan zaka iya yin sabon tambaya, kuma bayan ɗan lokaci likitocinmu zasu amsa. Kyauta ne. Hakanan zaka iya bincika bayanan da suka dace akan batutuwan makamancin wannan shafin ko ta shafin binciken shafin. Za mu yi matukar godiya idan kun ba mu shawarar abokanku ta shafukan sada zumunta.

Medportal 03online.com yana ba da shawarwari na likita a cikin rubutu tare da likitoci a shafin. Anan zaka sami amsoshi daga kwararrun likitocin a fagenku. A halin yanzu, rukunin yana ba da shawara a fannoni 48: maganin ƙoshin ƙwayar cuta, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, likitan dabbobi, , ƙwararren cuta mai kamuwa da cuta, likitan zuciya, kwalliya, likitan kwalliya, likitan dabbobi, ENT, likitan dabbobi, likitan dabbobi, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma doctor, ophthalmologist a, likitan dabbobi, likitan likitancin filastik, proctologist, likitan mahaifa, likitan halaye, pulmonologist, rheumatologist, radiologist, likitan ilimin likitanci, likitan hakora, likitan likitanci, likitan likitanci, likitan dabbobi, phlebologist, likitan likitanci, endocrinologist.

Mun amsa kashi 96.27% na tambayoyin..

Sunan kasa da kasa

Acetylsalicylic acid. A cikin Latin - Acidum acetylsalicylicum.

Thrombo ACC an yi shi ne don maganin marasa lafiya da ke fama da matsanancin ƙwayar mai mai rauni, ciwon sukari mellitus ko hawan jini.

Saki siffofin da abun da ke ciki

Ana amfani da miyagun ƙwayoyi a cikin nau'i na farin biconvex farin allunan, mai rufe fim. Naúrar miyagun ƙwayoyi ya ƙunshi 50 ko 100 MG na abu mai aiki - acetylsalicylic acid. Kamar yadda aka gyara kayan sune:

madara sukari
microcrystalline cellulose,
silloon silicon dioxide,
dankalin turawa, sitaci.

Takaddun kayan shiga shine ya hada da talc, ethyl acrylate copolymer, triacetin da methaclates acid. Allunan ana samunsu cikin fakiti mai laushi kamar guda 14 ko 20. A cikin kwali na kwali na raka'a 14 na miyagun ƙwayoyi ya ƙunshi blisters 2, don raka'a 20 - 5 blisters.

Ana samun magungunan a cikin nau'ikan allunan biconvex zagaye na farin launi.

Aikin magunguna

Acetylsalicylic acid (ASA) yana da mallakin antiplatelet wanda ke hana haɗarin platelet na jini. Kwayar mai aiki tana cikin rukunin magungunan anti-steroidal anti-inflammatory (NSAIDs), kasancewar asalin acid ɗin dake salicylic. Tasirin warkewa yana dogara ne akan dakatarwar da aka sabawa na cyclooxygenase. Lokacin da aka hana enzyme, samar da aikin prostaglandins, thromboxane da prostacyclins suna rushewa. Sakamakon murkushewar ɓarwar thromboxane A2, samuwar platelet, tarawar (clumping) da platelet sedimentation.

Sakamakon antiplatelet ya ci gaba har sati guda bayan amfani guda. Ana amfani da irin wannan sakamakon tasirin acetylsalicylic acid don magani da kuma rigakafin ischemic, cututtukan varicose, infarction na myocardial.

Pharmacokinetics

Lokacin da aka sarrafa shi a baki, acetylsalicylic acid yana saurin 100% a cikin ƙananan hanjin. Allunan ba su lalata mucosa na ciki saboda kasancewar fim membrane. A lokacin ɗaukar abu, ana ɗaukar kashi na biyu zuwa ga salicylic acid. Wannan sunadarai yana canzawa a cikin hanta don samar da salicylates.

Lokacin da ya shiga cikin jini, ASA yana ɗaure zuwa 66-98% tare da ƙwayoyin plasma kuma ana rarraba shi da sauri zuwa kyallen takarda. Magani tara ba ya faruwa. Cire rabin rabin rayuwa ya kai mintina 15-20. Tsarin urinary ya wuce kashi 1% na maganin da aka karba a ainihin tsarin sa. Sauran suna barin jiki a cikin hanyar metabolites. Tare da aiki na al'ada na nephrons, 80-100% na miyagun ƙwayoyi an keɓance ta ta hanjin kodan a cikin kwanakin 1-3.

Lokacin da aka sarrafa shi a baki, acetylsalicylic acid yana saurin 100% a cikin ƙananan hanjin.

Alamu don amfani

Magungunan an yi niyya don hana mummunan ciwon zuciya na ƙwayar zuciya yayin da mai haƙuri ya kasance cikin haɗari (hawan jini, kiba, shekaru da suka wuce shekaru 50, halaye marasa kyau, ciwon sukari mellitus). A cikin zuciya, kwararrun likitocin suna da hakkin rubanya amfani da miyagun ƙwayoyi a waɗannan halaye masu zuwa:

a matsayin gwargwado na rigakafin thromboembolism bayan abubuwan tallafi na wulakanci da aikin tiyata a kan tasoshin: jijiyoyin jijiyoyin jini jijiyoyin bugun jini, stenting, angioplasty,
tare da zurfin jijiya mara nauyi,
domin taimako na zazzabi don zazzabi saboda mura,
rigakafin wurare dabam dabam a cikin kwakwalwa,
don lura da angina barga da kuma rashin daidaituwa,
don hana sake aukuwar bugun zuciya,
a matsayin rigakafin bugun jini, gami da yanayi tare da hadarin cerebrovascular.

Ana amfani da miyagun ƙwayoyi don hana cututtukan huhun hanji bayan tsawaita bugun jini, wanda aka buƙata a cikin bayan aikin.

Sakin tsari da kuma kayan magani

Akwai Thrombo ACC a cikin nau'i na allunan don maganin baka, mai rufi tare da rufin fina-finai na fina-finai. Allunan suna fararen fata, zagaye, convex a garesu, an sanya su a cikin blisters na guda 14 (2) a cikin kwali na kwali, annotation an hada shi da miyagun ƙwayoyi tare da cikakken bayanin halayen.

Kowane kwamfutar hannu ya ƙunshi 50 MG ko 100 MG na kayan aiki mai aiki - Acetylsalicylic acid, kamar yadda abubuwan haɗin keɓaɓɓu sune: lactose monohydrate, celclostse microcrystalline, silicon dioxide, sitaci dankalin turawa.

Assauki ass assrombotic don nau'in ciwon sukari na 2

A'a 26 010 Endocrinologist 11/20/2015

Shin zai yiwu kuma ko zai kawo lahani. Na gode a gaba game da amsar ku.

Vladimir Verkhovodov, Bolkhov

Barka dai, gaya min don Allah, Ina so in fara shan maganin hana shan ruwa na farko, an shawarci Klair, yau ita ce rana ta biyu ta haila, umarni sun ce amfani daga ranar farko, zaku iya ɗauka daga rana ta biyu, idan haka ne, tare da wane kwaya don fara shan ruwa daga 1 ko 2. Na gode a gaba don amsar ku.

Sannu. Ina da shekara 30. Ina da yara biyu (yara maza 7 da shekaru 4) lafiya. Bayan yaran na biyu akwai wani wuri. Bayan wannan (shekaru 4 suka shude), ciki ya fara. Ciki ya kasance al'ada. Mai damuwa ne kawai da murkushewa, wanda aka bi da shi. An haifi yaro akan lokaci, yaro, 3330 g, cm 50. 8/9 akan Apgar. A rana ta biyu, ɗan yaron ya yi fitsari a kai, kumfa cike da ruwa mai ruwan shuɗi, ya fashe da haɗuwa. Sun saka mu a asibiti, basu ce komai ba, sun harbe bilirubin da Fr.

Da fatan za a gaya mani, Na ɗauki gwajin IgA da IgG don chlamydia, sakamakon shine 87 da 230, bi da bi (yanayin 50.50-60 yana da shakka, sama da 60 za su sa). Bayan ƙarshen jiyya, wata daya bayan haka, an yi bincike mai zurfi, sakamakon shine 63 da 213, menene ma'anar wannan, ƙarin magani ya zama dole? Na gode a gaba don amsar ku.

Maigirma Likita! Zan juya zuwa gare ku da tambaya ta gaba: Kwanan nan, kusan wata daya da suka wuce, ƙirjin da ke kewaye da nono da nono kansu da kansu sun fara jujjuya kansu, jan launi ya fito a kamannin taurari. Me zai iya kasancewa? Na gode da amsar.

Sannu. Ina da irin wannan matsalar - bayan haihuwar ta biyu na sami babban polyp na buɗewa na urethra (kimanin 2 cm), sun cire shi, saboda K. A cikin mako guda ya girma sau biyu. Bayan aikin, akwai kumburi daga cikin mucosa-protrusion. Watanni shida sun shude, kuma mucous membrane sags kamar dai akwai "polyp" (ana iya gani daga canal) kuma canal ɗin cikin urethra ya juya ya buɗe. Babu raɗaɗi, amma yayin saduwa ba shi da daɗi kuma yana ciwo. Me zan yi a wannan yanayin kuma ko wannan aikin zai iya

Barka da rana Na yi ciki, na wuce gwaje-gwaje a asibitin dabbobi - an samo sakamakon HBsAg. Sun tilasta ni in je wani asibiti zuwa wani kwararre na kamuwa da cutar, an ba da manazarci a can - ba a sami komai ba. Calmed a ƙasa. A ƙarshen haihuwa, na sake hawa na biyu a cikin mace kuma na sake tabbatuwa, kuma na sake zuwa ƙwararrun masu cutar na cutar da kuma sakamakon na da kyau. A sakamakon haka, kwararrun masu cutar ta aika da gudummawar jini don gano kwayar cutar kwayar cutar hepatitis B (HBV), sakamakon da aka samu - aka samo, ba a sami lokacin tazara ba.

18+ Shawarwarin kan layi don dalilai ne na bada labarai kuma ba musanyawa ga likitocin fuska-da fuska ba. Yarjejeniyar mai amfani

Ana kiyaye bayanan keɓaɓɓun ku. Biya da aiki shafin ana aiwatar dasu ta amfani da ingantaccen yarjejeniya na SSL.

Contraindications

Ba za a iya fara amfani da miyagun ƙwayoyi ta hanyar kansu ba, ta hanyar dogara da kansu da jin daɗinsu. Allunann Thrombo ACC suna da yawan contraindications:

gastrointestinal zub da jini ko tuhumarsu,
peptic na ciki na ciki da kuma duodenum a cikin m lokaci ko a cikin anamnesis,
basur na jini,
asma wanda ya taso yayin jiyya tare da acetylsalicylic acid ko wasu magunguna daga kungiyar NSAID,
cututtuka na hanta da kodan, tare da rashi aikin gabobi,
concomitant far da methotrexate,
na kullum zuciya
ciki a cikin na farko da na uku,
lokacin shayarwa,
shekaru zuwa shekaru 18
rashin daidaituwa na lactose, cututtukan malabsorption na glucose,
polyposis sinus.

Abubuwan da ke alaƙa da amfani da miyagun ƙwayoyi sune:

gout
hawan jini
m renal gazawar
rashin lafiyan kwayoyi
2 watanni uku na ciki,
shiri don tiyata, gami da hakori,
hay zazzabi
tarihin cututtukan cututtukan cututtukan daji da ke motsa jiki.

Sashi da gudanarwa

Dole ne a dauki allunan Thrombo ACC bayan abinci ko lokacin abinci, a wanke da ruwa mai yawa, ba tare da cizo ko ci ba. Magungunan an yi niyya ne don tsawaita amfani da shi, amma sashi da tsawon lokacin aikin likita an ƙaddara shi, gwargwadon yanayin mai haƙuri da halayen jikinsa.

Don rigakafin cututtukan zuciya da thrombosis, kashi na yau da kullum na miyagun ƙwayoyi shine 50 MG, idan ya cancanta, ana iya ƙara zuwa 100 MG kowace rana a ƙarƙashin kulawar likita.

Don yin rigakafi da lura da cututtukan hanji da na jijiya mai zurfi, an tsara 100 zuwa 200 na maganin a kowace rana, an kasu kashi biyu.

Amfani da miyagun ƙwayoyi yayin daukar ciki da lactation

A farkon watanni uku na ciki, ba a sanya magungunan Thrombo ACC ba, saboda a wannan lokacin dukkan gabobin da tsarin yarinyar da ba a haife su ba, kuma tasirin kwayoyi a jikin mace zai iya rushe wannan tsari kuma yana haifar da haifar da rashin lafiyar haihuwar yara.

A cikin watanni biyu na ciki na ciki, amfani da miyagun ƙwayoyi yana yiwuwa a ƙarƙashin kulawar likita, idan tsammanin warkewar cutar ga mahaifiyar ya wuce haɗarin haɗarin jariri.

A cikin kashi uku na ciki na ciki, shan allunan Thrombo ACC an saba, tunda magani zai iya haifar da zubar jini a cikin tayin, zubar da jini mai yawa da kuma keta haddin jini a cikin jariri.

Acetylsalicylic acid za'a iya fitar dashi a cikin madarar nono kuma yana haifar da mummunan sakamako masu illa ga jarirai, sabili da haka, ba a yin magani na magani a lokacin shayarwa. Idan farji ya zama dole, sai a daina shayar da nono.

Side effects

Lokacin ɗaukar allunan thrombo ACC a cikin marasa lafiya tare da karuwar hankalin mutum ɗaya na acetylsalicylic acid, sakamako masu illa na iya haɓaka:

daga narkewa kamar tsarin - ƙwannafi, jin zafi a ciki, tashin zuciya, zafi na kullum da ciwan ciki, amai, zubar jini na hanji, haɓakar farfadowar pancreatitis, ƙara yawan aikin hanta,
daga tsarin juyayi - amai da ciwon kai, tinnitus, rashi sauraro,
hadarin zub da jini, kurma, amai,
a wani bangare na hoton jini - thrombocytopenia, anemia, raguwa a alamuran launi da matakin sel sel,
halayen rashin lafiyan mutum - wata kumburi a kan fata na nau'in erythematous, ƙananan basur a ƙarƙashin fata, edema na Quincke, bronchospasm, haɓakar asma, rhinitis, a cikin lokuta mafi ƙaranci, haɓakar gigicewar anaphylactic.

Idan ɗaya ko fiye da sakamako masu illa sun bayyana, ya kamata a dakatar da maganin kuma a nemi likita.

Yawan abin sama da ya kamata

Lokacin ɗaukar allunan Thrombo ACC a cikin allurai masu yawa, mai haƙuri da sauri yana haɓaka alamomin overdose, wanda aka bayyana a cikin mummunan guba mai narkewa - vomiting, feces tare da jini, lalacewar hanta mai guba, ƙoshin hanci, ƙanƙarar tinnitus, alkalander.

A cikin guba mai tsanani tare da acetylsalicylic acid, marasa lafiya suna haɓaka huhun ciki, rashin ƙarfi na numfashi, ƙonewa (shanyewar zuciya), ƙarancin zuciya, tashin zuciya, rikicewar zuciya, coma.

Jiyya wani yawan abin sama da ya shafa na salicylates ya ƙunshi amfani da hancin ciki, maimaitaccen amfani da gawayi na aiki, maido da daidaita ruwan-gishiri, da kuma maganin alamomi idan ya cancanta.

Hulɗa da ƙwayoyi

Musamman hankali yana buƙatar hulɗa da miyagun ƙwayoyi na allunan thrombo ACC tare da irin waɗannan kwayoyi:

Methotrexate
Anticoagulants - saboda haɗarin zubar jini,
NVPV,
Magungunan Thrombolytic
Magungunan cututtukan jini da insulin.

Acetylsalicylic acid, wanda shine bangare na Allunan Thrombo ACC, yana inganta tasirin warkewar magungunan da ke sama, wanda ke kara saurin tasirin sakamako da yawan wuce gona da iri. Idan ya cancanta, hulɗa da miyagun ƙwayoyi yana buƙatar daidaita sashi.

Tare da gudanarwa na lokaci guda na allunan tare da kwayoyi daga rukuni na glucocorticosteroids, ana lura da raguwa a cikin tasirin warkewa na acetylsalicylic acid.

Umarni na musamman

Allunan magani na Thrombo ACC ana iya ɗaukar su kawai kamar yadda likita ya umarta bayan gwajin jini na farko.

Acetylsalicylic acid, wanda shine bangare na miyagun ƙwayoyi, na iya haifar da haɓakar bronchospasm a cikin mutane da ke haɗuwa da rashin lafiyar jiki ko marasa lafiya da ke fama da asma. Tashin hankalin asma yayin jiyya tare da miyagun ƙwayoyi ya zama mafi yawan lokuta kuma yana da wahala.

Idan akwai tarihin cututtukan urtikaria, kumburi hanci da makogwaro bayan shan Acetylsalicylic acid ko allunan NVPV kafin magani tare da Thrombo ACC, koyaushe ku nemi likita.

Gabanin tushen maganin magani, matakin platelet na mara lafiya a cikin jini yana raguwa, wanda zai iya haifar da zub da jini yayin tiyata. Idan mai haƙuri ya shirya tiyata na tiyata, gami da hakar hakori, ya zama dole a faɗakar da likita cewa yana ɗaukar Thrombo ACC.

Mata suna shan Allunan na miyagun ƙwayoyi yakamata su kare kansu daga farkon ɗaukar ciki, kuma idan ciki ya faru, to shan maganin nan da nan kuma tsaya likita.

Allunan magungunan Thrombo ACC ba za a iya ɗauka lokaci guda tare da acetylsalicylic acid ko magungunan anti-mai kumburi ba, saboda wannan yana ƙaruwa haɗarin sakamako masu illa da yawan wuce haddi.

Marasa lafiya fiye da shekaru 65 da haihuwa suna buƙatar zaɓin mutum na kashi ɗaya daga cikin miyagun ƙwayoyi, tunda a wannan rukunin zamani haɗarin sakamako masu illa yana da yawa musamman.

Idan kun dandana abubuwan ji daɗi a cikin yankin epigastric yayin jiyya tare da miyagun ƙwayoyi, tashin zuciya, da jin zafi a cikin ciki, an dakatar da allunan kai tsaye kuma a nemi shawara tare da likita.

A yayin jiyya tare da miyagun ƙwayoyi, ya kamata mutum ya guji abubuwan da ke buƙatar haɓakar haɓaka da tuki. Wannan ya faru ne saboda bayyanar farin ciki da tinnitus yayin jiyya.